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Highlights on Rural Health Innovation in Wales. Stephanie Best PoWIS Rural Health PhD Student Dr Fiona Williams Research Manager, IRH. What is Innovation in Rural Health and Social Care?. From the Latin innovatus meaning to renew or change in -" into" and novus -" new "

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stephanie best powis rural health phd student dr fiona williams research manager irh

Highlights on Rural Health Innovation in Wales

Stephanie Best

PoWIS Rural Health PhD Student

Dr Fiona Williams

Research Manager, IRH

what is innovation in rural health and social care
What is Innovation in Rural Health and Social Care?

Access, Integration, Community Cohesion and Engagement

From the Latin innovatusmeaning to renew or change in -"into" and novus -"new"

Majority of innovation is derived by inspiration from others – reinvention

A “good idea” is not enough

Spread of innovative rural health and social care is dependent on sharing knowledge

the process of innovation
The Process of Innovation

Access, Integration, Community Cohesion and Engagement

rural health innovation projects
Rural Health Innovation Projects

Access, Integration, Community Cohesion and Engagement

Aims

  • Stimulate and support innovative and sustainable solutions
  • Develop and test new models of integrated, sustainable working
  • Strengthen local ownership, engagement and rural networks
  • Support joint workforce training and developments
  • Identify and share examples of good practice to inform service delivery
rural health innovation projects5
Rural Health Innovation Projects

Diversityof Projects

Designed for Competence

Outreach Mobile Units

Telerehabilitation

Community Support Networks

Sp&L Therapy in a bag

Third Sector Coordination

E Xray Link

Rural Carers Recognition

Palliative Care Service Redesign

IT Paramedics

Nurse Led MIU

Care Farming

Rural Carers Survey

Innovative Rural Pharmacies

Capable Coping Communities

Access, Integration, Community Cohesion and Engagement

challenges
Challenges

Access, Integration, Community Cohesion and Engagement

Tight timescales

Procurement

New referral routes

Assessment of small client populations

what has been learnt
What has been learnt?

Access, Integration, Community Cohesion and Engagement

The need to embed evaluation frameworks

Measuring the unquantifiable

Integrated working

Benefits of a good network

The need to share outcomes

development sites
Development Sites

Access, Integration, Community Cohesion and Engagement

  • Increase understanding of the practicalities of implementing improved service delivery in a rural context
  • Strategic approach to a different way of working:
    • Intertwined – wider strategic framework
    • Focus on geographically-based initiatives
  • Not ‘bolt-on’ initiatives
  • Evaluating the ‘learning’
overview hywel dda
Overview: HywelDda

Integrated planning & delivery teams

Joint delivery systems

– transport

Access

Integration

Integrated Workforce Plan

Service maps redrawn – local intelligence

Crymych

Greater use joint care packages

Community networks established

Gap analysis – identify lack alternative care

Community

cohesion

Access, Integration, Community Cohesion and Engagement

overview powys
Overview: Powys

Agreed role profiles

Identified ‘champions’

Emphasis on Mental Health

Systems of engagement at local level

Powys-wide

Telehealth & telecare services

Citizen & stakeholder engagement

Rural Health Practitioner

Governing Framework

Mapping exercise

Training programme

Plan for ‘roll out’ as appropriate

Tier 1 services initiated

Access, Integration, Community Cohesion and Engagement

what has been learnt access
What has been learnt? Access

Access, Integration, Community Cohesion and Engagement

Perceptions of good and poor access – challenging our understanding of access issues

Rural isolation – reaching people (community intelligence)

The role of telehealth and telecare opportunities

what has been learnt integration
What has been learnt? Integration

Access, Integration, Community Cohesion and Engagement

Locality working – understanding the interface between community and primary health care services

Workforce – potential impacts on planning

what has been learnt community cohesion engagement
What has been learnt? Community Cohesion & Engagement

Access, Integration, Community Cohesion and Engagement

Understanding the third sector and civil society – developing relationships

Access to information

Confidentiality issues and concerns

Flexibility – working with the community dynamic

challenges and opportunities
Challenges and opportunities

Access, Integration, Community Cohesion and Engagement

Project activities and outputs are still ongoing

Impacts are difficult to disentangle from related activities

Useful learning achieved through the project process to date – potential to shape services

Basis of framework for evaluation and critique in the medium-longer term

the so what slide
The “so what” slide

Access, Integration, Community Cohesion and Engagement

Early days

The Rural Health Plan has provided a ‘lens’ for observation

Initiating a culture shift in service provision

Generating the evidence-base - a need for ongoing monitoring, review and evaluation

Wales is on the international stage for rural health and social care provision